Mansoor, John Victor

Mansoor, John Victor is an individual health care provider with primary practice located at 1033 Champions Way Suite 100, Suffolk VA 23435-3777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mansoor, John Victor can be contacted via phone (757) 461-6997.

Contact Information

Primary practice address
1033 Champions Way Suite 100 Suffolk VA 23435-3777
Phone: (757) 461-6997
Fax: (757) 461-6906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 0101054589 Virginia

Profile Details

NPI number 1356322184
LBN Legal business name Mansoor, John Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Mar 1st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356322184 NPPES
Virginia MEDICAID 006091326
Virginia Other 660001452
Virginia Other 0585010001

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